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NPI Code Detail

MEDICARE: BRIAN HIGGINS

MEDICARE: BRIAN HIGGINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant3723CA

General Provider Information

NPI Number : 1851558175
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN HIGGINS
Provider Business Mailing Address
First Line : 508 WESTCHESTER PL
Second Line :
City : FULLERTON
State : CA
Zip : 92835-2707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2222 N HARBOR BLVD
Second Line :
City : FULLERTON
State : CA
Zip : 92835-2605
Country : US
Telephone Number : 714-333-1555
Fax Number : 714-333-1570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2008
Last Update Date : 05/22/2008

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Directions to “ BRIAN HIGGINS ” Practice Location

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